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Pediatrician by Tio Manolo

Thursday, June 18, 2026 Edition XXXXXXXXXXIX
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This Week in Pediatrics

Navigating a Unique Moment in Pediatric Healthcare | Healthcare of Tomorrow | U.S. News

Hospital leaders agree this is an atypical time for pediatric healthcare, as medical facilities wrestle with the uncertainty of funding cuts, staffing shortages and artificial intelligence initiatives. As part of the U.S. News Healthcare of Tomorrow conference, industry leaders s...

UC Davis pediatrics leader appointed to American Academy of Pediatrics’ national committee

Department of Physical Medicine and Rehabilitation ... Satyan Lakshminrusimha, chair of pediatrics and pediatrician-in-chief of UC Davis Children’s Hospital, has been appointed to an influential committee of the American Academy of Pediatrics (AAP). ... Effective July 1, Lakshmin...

JAMA Pediatrics – The Science of Child and Adolescent ...

Editor's Choice: JAMA Pediatrics—The Year in Review, 2025 · Charles H. Schlaepfer, MD; Suzanne M. Lange, MD; Glen A. Lau, MD; et al

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Research of the Day

Adolescent Vaping Cessation: Randomized Trial of Behavioral Interventions

This RCT compared three vaping cessation approaches in 1,200 adolescents: text-based support, in-person counseling, and combined intervention. Combined approach showed highest quit rates at 6-month follow-up.

Key findings: (1) 28% quit rate with combined intervention vs 15% text-only; (2) Nicotine dependence level predicted quit success; (3) Most adolescents wanted to quit but lacked support resources.

🩺 What this means for your practice:

Screen for vaping at every adolescent visit. Offer cessation resources proactively—most teens want to quit. Combine counseling with digital support for best outcomes.

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Popular Beliefs

Shaving makes hair grow back thicker and darker

What the evidence shows: Shaving removes hair at the skin surface, leaving a blunt tip that may feel coarser as it grows out. However, it does not affect hair thickness, color, or growth rate. This is an optical illusion from the blunt vs. tapered hair shaft.

Letting babies walk early causes bowlegs

What the evidence shows: There is no evidence that early walking causes bowlegs. Most infants have some degree of bowing that typically resolves by age 3-4. Pathologic bowing has other causes (Blount disease, rickets). Encourage normal motor development and monitor for asymmetric or progressive bowing.

Wait 30 minutes after eating before swimming

What the evidence shows: There's no evidence that swimming after eating causes cramps or drowning. While digestion diverts some blood flow to the gut, it doesn't impair swimming ability in normal circumstances. Common-sense supervision is always important regardless of meal timing.

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Behaviors

Breakfast Consumption and Cognitive Performance in School-Age Children

This crossover study compared cognitive test performance in 200 children ages 8-11 on days with and without breakfast. Skipping breakfast significantly impaired attention, memory, and problem-solving speed, with effects noticeable by mid-morning.

Key findings: (1) 18% slower response time on attention tasks without breakfast; (2) Short-term memory scores 12% lower; (3) Nutrient-dense breakfasts outperformed high-sugar options for sustained attention.

🩺 What this means for your practice:

Screen for breakfast skipping during well visits, especially in lower-income families. Connect families with school breakfast programs when appropriate. Quick, balanced breakfast options can be discussed as anticipatory guidance.

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Genetics

Genetic Predictors of Peanut Allergy Persistence

Genome-wide association study identifies genetic variants associated with peanut allergy persistence versus resolution. Children with certain variants are more likely to outgrow their allergy, informing timing of oral food challenges.

Key findings: (1) 4 genetic variants strongly associated with persistence; (2) Genetic testing could reduce unnecessary avoidance and challenges; (3) Environmental factors remain important in allergy development.

🩺 What this means for your practice:

Genetic testing may soon help predict which children will outgrow allergies. For now, continue regular reassessment with IgE testing and oral challenges as clinically indicated.

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Did You Know? Numbers & Statistics

10.4%
Births occurring before 37 weeks gestation
CDC NCHS, 2024
9.8%
Children ages 3-17 diagnosed with ADHD
CDC NHIS, 2024
9.4%
Children ages 3-17 diagnosed with anxiety
CDC NHIS, 2024
13.2
Births per 1,000 females ages 15-19 (historic low)
CDC NCHS, 2024